The SARM1 toll/interleukin-1 receptor domain possesses intrinsic NAD(+) cleavage activity that promotes pathological axonal degeneration
Open accessAbstract
Axonal degeneration is an early and prominent feature of many neurological disorders. SARM1 is the central executioner of the axonal degeneration pathway that culminates in depletion of axonal NAD+, yet the identity of the underlying NAD+-depleting enzyme(s) is unknown. Here, in a series of experiments using purified proteins from mammalian cells, bacteria, and a cell-free protein translation system, we show that the SARM1-TIR domain itself has intrinsic NADase activity-cleaving NAD+ into ADP-ribose (ADPR), cyclic ADPR, and nicotinamide, with nicotinamide serving as a feedback inhibitor of the enzyme. Using traumatic and vincristine-induced injury models in neurons, we demonstrate that the NADase activity of full-length SARM1 is required in axons to promote axonal NAD+ depletion and axonal degeneration after injury. Hence, the SARM1 enzyme represents a novel therapeutic target for axonopathies. Moreover, the widely utilized TIR domain is a protein motif that can possess enzymatic activity.
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Sarm1 TIR domain cleaves NAD+ into cyclic ADP-ribose (cADPR) as a new class of NAD+ hydrolases.
“Subsequent work showed that Sarm1 TIR domain cleaves NAD + into cyclic ADP-ribose (cADPR) as a new class of NAD + hydrolases 10,44”
From NAD+ hydrolase Sarm1 is a key driver of synapse degeneration and memory loss in Alzheimer’s disease (2025) · cites this paper as [44]
SARM1 NADase activity may contribute to axonal degeneration and is a potential target for therapeutic intervention in neurodegenerative diseases.
“The NADase activity of SARM1 may contribute to its role in axonal degeneration (Essuman et al., 2017) and is therefore a potential target for therapeutic intervention in neurodegenerative diseases.”
From NAD+ in Brain Aging and Neurodegenerative Disorders (2019) · cites this paper as Essuman et al., 2017
SARM1 cleaves NAD+ into NAM, ADPR, and cADPR via its TIR domain and is expressed in brain and non-brain tissues including liver.
“SARM1 is a newly recognized class of NADase that cleaves NAD+ into NAM, ADPR, and cADPR via its TIR domain. It is expressed in both brain and non-brain tissues, including the liver (Essuman et al., 2017; Pan and An, 2018).”
From NAD+ in Brain Aging and Neurodegenerative Disorders (2019) · cites this paper as Essuman et al., 2017
The enzymatic activity of SARM1 relies on the Toll/interleukin receptor (TIR) domain, which was previously not known to possess catalytic activity.
“The enzymatic activity of SARM1 (FIG. 2c) relies on the Toll/interleukin receptor (TIR) domain that was previously not known to possess catalytic activity and generally to be involved in protein–protein interaction59.”
From NAD+ metabolism and its roles in cellular processes during ageing (2021) · cites this paper as [59]
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The Phyre2 web portal for protein modeling, prediction and analysis
Kelley, L. A., Mezulis, S., Yates, C. M., Wass, M. N., & Sternberg, M. J. E. (2015) · Nature Protocols · doi:10.1038/nprot.2015.053 · Cited by 9,652 · see citing works
Universal sample preparation method for proteome analysis
Wiśniewski, J. R., Zougman, A., Nagaraj, N., & Mann, M. (2009) · Nature Methods · doi:10.1038/nmeth.1322 · Cited by 8,352 · see citing works
The SWISS-MODEL workspace: a web-based environment for protein structure homology modelling
Arnold, K., Bordoli, L., Kopp, J., & Schwede, T. F. (2005) · Bioinformatics · doi:10.1093/bioinformatics/bti770 · Cited by 6,951 · see citing works
Keller, A., Nesvizhskii, A., Kolker, E., & Aebersold, R. (2002) · Analytical Chemistry · doi:10.1021/ac025747h · Cited by 4,970 · see citing works
A statistical model for identifying proteins by tandem mass spectrometry.
Nesvizhskii, A., Keller, A., Kolker, E., & Aebersold, R. (2003) · Analytical Chemistry · doi:10.1021/ac0341261 · Cited by 4,902 · see citing works
The HHpred interactive server for protein homology detection and structure prediction
Söding, J., Biegert, A., & Lupas, A. N. (2005) · Nucleic Acids Research · doi:10.1093/nar/gki408 · Cited by 3,703 · see citing works
Cell-free translation reconstituted with purified components
Shimizu, Y., Inoue, A., Tomari, Y., Suzuki, T., Yokogawa, T., Nishikawa, K., & Ueda, T. (2001) · Nature Biotechnology · doi:10.1038/90802 · Cited by 1,826 · see citing works
The history of toll-like receptors - redefining innate immunity
O'Neill, L. A. J., Golenbock, D., & Bowie, A. G. (2013) · Nature reviews. Immunology · doi:10.1038/nri3446 · Cited by 1,765 · see citing works
Cantó, C., Menzies, K. J., & Auwerx, J. (2015) · Cell Metabolism · doi:10.1016/j.cmet.2015.05.023 · Cited by 1,648 · see citing works
New insights into the molecular and cellular functions of poly(ADP-ribose) and PARPs
Gibson, B. A., & Kraus, W. L. (2012) · Nature Reviews Molecular Cell Biology · doi:10.1038/nrm3376 · Cited by 1,226 · see citing works
Increased Nuclear NAD Biosynthesis and SIRT1 Activation Prevent Axonal Degeneration
Araki, T., Sasaki, Y., & Milbrandt, J. (2004) · Science · doi:10.1126/science.1098014 · Cited by 1,060 · see citing works
Self-citationdSarm/Sarm1 Is Required for Activation of an Injury-Induced Axon Death Pathway
Osterloh, J. M., Yang, J. H., Rooney, T. M., Fox, A. N., Adalbert, R., Powell, E. H., Sheehan, A. E., Avery, M. A., Hackett, R., Logan, M. A., et al. (2012) · Science · doi:10.1126/science.1223899 · Cited by 688 · see citing works
Absence of Wallerian Degeneration does not Hinder Regeneration in Peripheral Nerve
Lunn, E. R., Perry, V. H., Brown, M. C., Rosen, H., & Gordon, S. (1989) · European Journal of Neuroscience · doi:10.1111/j.1460-9568.1989.tb00771.x · Cited by 646 · see citing works
Wallerian degeneration of injured axons and synapses is delayed by a Ube4b/Nmnat chimeric gene
Mack, T. G. A., Reiner, M., Beirowski, B., Mi, W., Emanuelli, M., Wagner, D., Thomson, D., Gillingwater, T., Court, F., Conforti, L., et al. (2001) · Nature Neuroscience · doi:10.1038/nn770 · Cited by 611 · see citing works
SARM1 activation triggers axon degeneration locally via NAD <sup>+</sup> destruction
Gerdts, J., Brace, E. J., Sasaki, Y., DiAntonio, A., & Milbrandt, J. (2015) · Science · doi:10.1126/science.1258366 · Cited by 593 · see citing works
Self-citationEndogenous Nmnat2 Is an Essential Survival Factor for Maintenance of Healthy Axons
Gilley, J., & Coleman, M. P. (2010) · PLoS Biology · doi:10.1371/journal.pbio.1000300 · Cited by 472 · see citing works
Avalos, J. L., Bever, K. M., & Wolberger, C. (2005) · Molecular Cell · doi:10.1016/j.molcel.2005.02.022 · Cited by 462 · see citing works
Sarm1-Mediated Axon Degeneration Requires Both SAM and TIR Interactions
Gerdts, J., Summers, D. W., Sasaki, Y., DiAntonio, A., & Milbrandt, J. (2013) · Journal of Neuroscience · doi:10.1523/jneurosci.1197-13.2013 · Cited by 375 · see citing works
Self-citationA local mechanism mediates NAD-dependent protection of axon degeneration
Wang, J., Zhai, Q., Chen, Y., Lin, E., Gu, W., McBurney, M. W., & He, Z. (2005) · The Journal of Cell Biology · doi:10.1083/jcb.200504028 · Cited by 352 · see citing works
Erde, J., Loo, R. R. O., & Loo, J. A. (2014) · Journal of Proteome Research · doi:10.1021/pr4010019 · Cited by 332 · see citing works
Axon Self-Destruction: New Links among SARM1, MAPKs, and NAD+ Metabolism
Gerdts, J., Summers, D. W., Milbrandt, J., & DiAntonio, A. (2016) · Neuron · doi:10.1016/j.neuron.2015.12.023 · Cited by 318 · see citing works
Self-citationPathological axonal death through a MAPK cascade that triggers a local energy deficit
Yang, J., Wu, Z.-H., Renier, N., Simon, D. J., Uryu, K., Park, D. S., Greer, P., Tournier, C., Davis, R., & Tessier-Lavigne, M. (2015) · Cell · doi:10.1016/j.cell.2014.11.053 · Cited by 302 · see citing works
A dual leucine kinase–dependent axon self-destruction program promotes Wallerian degeneration
Miller, B. R., Press, C., Daniels, R. W., Sasaki, Y., Milbrandt, J., & DiAntonio, A. (2009) · Nature Neuroscience · doi:10.1038/nn.2290 · Cited by 301 · see citing works
Self-citationQiao, F., & Bowie, J. U. (2005) · Science s STKE · doi:10.1126/stke.2862005re7 · Cited by 280 · see citing works
Prevention of vincristine-induced peripheral neuropathy by genetic deletion of SARM1 in mice
Geisler, S., Doan, R. A., Strickland, A. M., Huang, X., Milbrandt, J., & DiAntonio, A. (2016) · Brain · doi:10.1093/brain/aww251 · Cited by 272 · see citing works
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Tewari, R., Bailes, E., Bunting, K. A., & Coates, J. C. (2010) · Trends in Cell Biology · doi:10.1016/j.tcb.2010.05.003 · Cited by 256 · see citing works
Sasaki, Y., Vohra, B., Lund, F., & Milbrandt, J. (2009) · Journal of Neuroscience · doi:10.1523/jneurosci.5469-08.2009 · Cited by 254 · see citing works
Self-citationBurroughs, A. M., Zhang, D., Schäffer, D. E., Iyer, L. M., & Aravind, L. (2015) · Nucleic Acids Research · doi:10.1093/nar/gkv1267 · Cited by 237 · see citing works
Proteogenomic Analysis of Mycobacterium tuberculosis By High Resolution Mass Spectrometry
Kelkar, D. S., Kumar, D., Kumar, P., Balakrishnan, L., Muthusamy, B., Yadav, A. K., Shrivastava, P., Marimuthu, A., Anand, S., Sundaram, H., et al. (2011) · Molecular & Cellular Proteomics · doi:10.1074/mcp.m111.011627 · Cited by 201 · see citing works
The Highwire Ubiquitin Ligase Promotes Axonal Degeneration by Tuning Levels of Nmnat Protein
Xiong, X., Hao, Y., Sun, K., Li, J., Li, X., Mishra, B., Soppina, P., Wu, C., Hume, R. I., & Collins, C. A. (2012) · PLoS Biology · doi:10.1371/journal.pbio.1001440 · Cited by 200 · see citing works
NMNAT1 inhibits axon degeneration via blockade of SARM1-mediated NAD+ depletion
Sasaki, Y., Nakagawa, T., Mao, X., DiAntonio, A., & Milbrandt, J. (2016) · eLife · doi:10.7554/elife.19749 · Cited by 192 · see citing works
Self-citationHenninger, N., Bouley, J., Şıkoğlu, E. M., An, J., Moore, C. M., King, J. A., Bowser, R. P., Freeman, M. R., & Brown, R. H. (2016) · Brain · doi:10.1093/brain/aww001 · Cited by 189 · see citing works
Villegas, R., Martínez, N. W., Lillo, J., Pihan, P., Hernández, D. E., Twiss, J., & Court, F. (2014) · Journal of Neuroscience · doi:10.1523/jneurosci.4784-13.2014 · Cited by 169 · see citing works
Axonal Degeneration in Motor Neuron Disease
Fischer, L. R., & Glass, J. D. (2007) · Neurodegenerative Diseases · doi:10.1159/000107704 · Cited by 153 · see citing works
Walker, L. J., Summers, D. W., Sasaki, Y., Brace, E. J., Milbrandt, J., & DiAntonio, A. (2017) · eLife · doi:10.7554/elife.22540 · Cited by 142 · see citing works
Self-citationSummers, D. W., Gibson, D. A., DiAntonio, A., & Milbrandt, J. (2016) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1601506113 · Cited by 135 · see citing works
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Fliegert, R., Gasser, A. S., & Guse, A. H. (2007) · Biochemical Society Transactions · doi:10.1042/bst0350109 · Cited by 119 · see citing works
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Berthelier, V., Tixier, J. M., Muller‐Steffner, H., Schuber, F. J., & Déterre, P. (1998) · Biochemical Journal · doi:10.1042/bj3301383 · Cited by 109 · see citing works
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Chen, Z.-W., Fuchs, K., Sieghart, W., Townsend, R. R., & Evers, A. S. (2011) · Molecular & Cellular Proteomics · doi:10.1074/mcp.m111.011445 · Cited by 77 · see citing works
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Zhang, Q., Zmasek, C. M., Cai, X., et al. (2010) · Developmental & Comparative Immunology · doi:10.1016/j.dci.2010.11.013 · Cited by 72 · see citing works
Armstrong, S. R., Cook, W. J., Short, S. A., et al. (1996) · Structure · doi:10.1016/s0969-2126(96)00013-5 · Cited by 69 · see citing works
Is Axonal Degeneration a Key Early Event in Parkinson’s Disease?
Kurowska, Z., Kordower, J. H., Stoessl, A. J., Burke, R. E., Brundin, P., Yue, Z., Brady, S. T., Milbrandt, J., Trapp, B. D., Sherer, T., et al. (2016) · Journal of Parkinson s Disease · doi:10.3233/jpd-160881 · Cited by 61 · see citing works
Self-citationLiu, Q., Graeff, R. M., Kriksunov, I. A., Jiang, H., Zhang, B., Oppenheimer, N. J., Lin, H., Potter, B. V. L., Lee, H. C., & Hao, Q. (2009) · Journal of Biological Chemistry · doi:10.1074/jbc.m109.031005 · Cited by 57 · see citing works
Characterization of Streptococcus pyogenes β-NAD+ Glycohydrolase
Ghosh, J., Anderson, P. J., Chandrasekaran, S., & Caparon, M. G. (2009) · Journal of Biological Chemistry · doi:10.1074/jbc.m109.070300 · Cited by 47 · see citing works
Reversal of the Substrate Specificity of CMP N-Glycosidase to dCMP
Sikowitz, M. D., Cooper, L. E., Begley, T. P., et al. (2013) · Biochemistry · doi:10.1021/bi400316p · Cited by 21 · see citing works
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“It has multiple enzyme activities, including both the degradation and cyclisation of NAD and NADP, and base exchange activity that switches the nicotinamide of either coenzyme for another pyridine base [57, 58].”
BackgroundTakaso, Y., Noda, M., Hattori, T., Roboon, J., Hatano, M., Sugimoto, H., Brenner, C., Yamamoto, Y., Okamoto, H., Higashida, H., et al. (2020) · Scientific Reports · doi:10.1038/s41598-020-73984-3 · Cited by 17 · see citing works
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Fan, F., Joshi, P., Liu, X., Kotturu, S. K., Abiola, M., Liu, Q., & Lou, X. (2025) · doi:10.64898/2025.12.21.695860
- Authors
- Essuman, K., Summers, D. W., Sasaki, Y., Mao, X., DiAntonio, A., & Milbrandt, J.
- Affiliations
- Washington University in St. Louis (US)
- Corresponding author
- DiAntonio, Aaron
- Milbrandt, Jeffrey
- Venue
- Neuron
- Publisher
- Elsevier BV
- Published
- 2017-03
- Volume
- 93
- Issue
- 6
- Pages
- 1334-1343.e5
- ISSN
- 0896-6273 (ISSN-L)
- PMC
- PMC6284238
- OpenAlex
- W2602599682
- Cited by
- 619
- References
- 45
- Citations by year
- 2026: 54 · 2025: 71 · 2024: 67 · 2023: 70 · 2022: 109 · 2021: 95 · 2020: 70 · 2019: 42 · 2018: 32 · 2017: 8
- FWCI
- 20.32
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 386 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Neuron (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of General Medical Sciences (P41 GM103422)
- Muscular Dystrophy Association (MDA344513, MDA349925)
- National Center for Advancing Translational Sciences (UL1 TR000448)
- Institute of Clinical and Translational Sciences
- Alvin J. Siteman Cancer Center
- National Cancer Institute (P30 CA091842)
- National Institutes of Health (RO1AG013730, RO1NS065053, RO1NS087632)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nerve injury and regeneration
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Physiology › Calcium signaling and nucleotide metabolism
- Keywords
- SARM1, Toll/interleukin-1 receptor domain, NADase activity, axonal degeneration, NAD+ depletion, ADP-ribose, axonal injury, traumatic axonal injury, axonopathy, therapeutic target
- MeSH terms
- Animals, Axons, Cells, Cultured, Cytoskeletal Proteins, Humans, NAD, NAD+ Nucleosidase, Nerve Degeneration, Mice, Knockout, Catalytic Domain, Armadillo Domain Proteins, Mice
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